Department of Anesthesia and Intensive Care Medicine, ASUFC "Santa Maria della Misericordia" University Hospital of Udine, Udine, Italy.
Department of Anesthesia and Intensive Care Clinic, ASUFC "Santa Maria della Misericordia" University Hospital of Udine; Department of Medicine, University of Udine, Udine, Italy.
Ann Card Anaesth. 2023 Jan-Mar;26(1):90-93. doi: 10.4103/aca.aca_37_21.
Thrombocytopenia is a common condition that recognizes an infinite number of possible causes, especially in specific settings like the one covered in this case report: the postoperative period of cardiac surgery. We report a case of an old male with multiple comorbidities who underwent a coronary angioplasty procedure and aortic valve replacement. He showed severe thrombocytopenia in the postoperative days. Differential diagnosis required a big effort, also for the experts in the field. Our goal was to aggressively treat the patient with prednisolone, platelets, and intravenous immunoglobulins to maximize the prognosis. Our patient developed no complications and was discharged successfully.
血小板减少症是一种常见病症，可能由无数种病因引起，尤其是在心脏手术后等特定环境中。本病例报告就涵盖了这样一种情况：我们报告了一例患有多种合并症的老年男性，他接受了冠状动脉成形术和主动脉瓣置换术。他在术后几天出现严重的血小板减少症。鉴别诊断需要付出巨大的努力，即使是该领域的专家也不例外。我们的目标是通过使用泼尼松龙、血小板和静脉注射免疫球蛋白积极治疗患者，以最大限度地提高预后。我们的患者没有出现并发症，并成功出院。
